Utilization Review Support Specialist
Cone Health
Job Overview
- Job Category: Computer User Support Specialists
- Industry: Hospitals and Health Care
- Application Deadline: 18 June 2026
Job Description
Overview:
The Utilization Review Support Specialist completes and documents in Cone Healthlink (CHL/EPIC) payor communication to include notification of beneficiary admission per payor requirements and timelines, authorization status and contact information for clinical follow-up.
Responsibilities:
- Reviews accounts to ensure accuracy and compliance with notice of admission requirements.
- Identifies where additional non-clinical details are required and initiates action to document the needed information.
- Ensure the accurate and timely submission of all administrative documents to the relevant parties, maintaining the highest standards of administrative support.
- Ensures a detailed account history by documenting all activities conducted on accounts.
- Identifies and escalates complex or time sensitive issues to leadership or the designated utilization review team in a timely manner.
- Meets/maintains productivity and quality standards to ensure excellent service is provided to customers.
- Utilize technology as necessary to complete job requirements.
Maintains comprehensive knowledge of payer requirements, communication preferences, and access to payer portals, as well as governmental regulations, HIPAA, and commercial payer rules. - Organizes work/resources to accomplish objectives and meet deadlines.
Coordinates information and findings with Revenue Cycle Services to help recognize or resolve possible payment problems. - Performs other duties as assigned.
Qualifications:
EDUCATION:
Required: High School Diploma or equivalent
EXPERIENCE:
Required: 2+ years of experience in a Patient Access, Care Management, or Utilization Review support role
LICENSURE/CERTIFICATION/REGISTRY/LISTING:
Top Searches
- full time Computer User Support Specialists Job
- Support Specialist appointments
- employment seeking
- nearest jobs hiring
Job seekers searching for Cone Health
- Cone Health Recruitment Opportunities
- Cone Health Jobs
- Cone Health Careers
- Cone Health Employment Opportunities
- Cone Health Jobs Hiring Near Me
- Cone Health Vacancies
Other job titles you may consider
- Technical Support Specialist
- Customer Support Specialist
- Computer Support Specialist
- Desktop Support Specialist
- Application Support Specialist
- Technology Support Specialist
- Information Technology Specialist
- Systems Support Specialist
- Product Support Specialist
Trending Searches in Gibsonville, NC
- jobs Cone Health Gibsonville
- jobs at Cone Health in Gibsonville NC
- Cone Health recruitment in United States
- latest vacancy in Gibsonville
Jobs currently in Demand
- Specialist
- Access specialist
- Development specialist
- Office
- Service specialist
- Support specialist
Job Overview
- Job Category: Computer User Support Specialists
- Industry: Hospitals and Health Care
- Application Deadline: 18 June 2026